Emergency visit, moderate (level 3) at WellSpan Surgery & Rehabilitation Hospital. CPT 99283.
What WellSpan Surgery & Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,741cash price (self-pay)
$2,176list price
$70.81–$2,111range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $70.81 |
| Geisinger_Medicaid | All_Plans | $70.81 |
| Health_Partners_Medicaid | All_Other_Plans | $70.81 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $70.81 |
| UPMC_Medicaid | All_Plans | $70.82 |
| Amerihealth_Caritas_Medicaid | All_Plans | $80.44 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $268 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $268 |
| Aetna_Better_Health_Kids | All_Plans | $269 |
| Highmark_Medicare | All_Plans | $271 |
| Aetna_Advantra_Medicare | All_Plans | $276 |
| Aetna_Medicare | All_Plans | $276 |
| Geisinger_Gold_Medicare | All_Plans | $281 |
| Devoted_Medicare | All_Plans | $281 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $283 |
| Amerihealth_Medicare | All_Plans | $283 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $289 |
| PA_Health_&_Wellness_Medicare | All_Plans | $289 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $323 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $323 |
| Highmark | Higmark_Healthy_Kids | $410 |
| Health_Partners_Medicaid | Kidz_Partners | $442 |
| United_Medicaid | Community_Plan_For_Kids | $469 |
| Highmark | Choice_Blue_PPO | $1,049 |
| Highmark | Performance_Blue | $1,049 |
| Highmark | Blue_Cross_High_Performance_Network | $1,049 |
| Blue_Cross | Capital_Cares_4_kids | $1,222 |
| Highmark | All_Other_Plans | $1,335 |
| Blue_Cross | All_Other_Plans | $1,745 |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,745 |
Inpatient
$1,741cash price (self-pay)
$2,176list price
$1,260–$2,067range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $1,260 |
| Blue_Cross | Capital_Cares_4_kids | $1,285 |
| Aetna | All_Plans | $1,926 |
| First_Health_Network | All_Plans | $1,926 |
| Cigna | All_Plans | $1,951 |
| Blue_Cross | All_Other_Plans | $1,951 |
| UPMC | UPMC_For_Kids | $2,024 |
| UPMC | All_Plans | $2,024 |
| Geisinger | All_Plans | $2,038 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $2,067 |
| PHC | All_Plans | $2,067 |
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All common services at WellSpan Surgery & Rehabilitation Hospital